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Derm! > Final Material > Flashcards

Final Material Flashcards

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Dermatology Board Prep flashcards
1
Q

Superficial hemangioma of infancy Tx

A

self-limiting, resolve 5-8 years

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2
Q

Deep hemangioma of infancy Tx

A

spontaneous resolution, interferon, surfery, propranolol, corticosteroids, vincristine, cyclophosphamide

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3
Q

Vascular malformation Tx

A

pulsed dye laser

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4
Q

Cherry angioma and Venous Lake Tx

A

(removed for cosmetic reasons)

radiosurgery, shave excision, laser, electrodessication

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5
Q

Spider angioma Tx

A

(for cosmetic reasons)

radiosurgery, laser, electrosurgery

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6
Q

Chondrodermatitis nodularis chronica helicis Tx

A

excision, electrodessication, curettage, cryo

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7
Q

Pyogenic granuloma

A

excision/ bx and electrodessication

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8
Q

Solar Lentigo Tx

A

Monitor
Hydroquinone solution, tretinoin, azeliac acid cream. glycolic acid peels and creams
Light cryotherapy

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9
Q

Epidermoid and Trichilemmal Cyst Tx

A

Excision

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10
Q

Mucoid or Ganglion Cyst Tx

A

compression early, aspiration/sclerosant, corticosteroid injection or excision, acupuncture

mucoid can also do cryo

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11
Q

Meibomian Cyst Tx

A

hot compresses 10-15 min qid/2-3 wks
can self-resolve in a few months
Consider steroid injection after 6 wks
incision and curettage-w/ or w/o antibiotics

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12
Q

Stye Tx

A

Hot and cold compresses

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13
Q

Pemphigus Vulgaris Tx

A

steroids, immunosuppressive therapy

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14
Q

Bullous pemphigoid Tx

A

systemic prednisone, topical glucocorticoids, anti-inflammatory diet

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15
Q

Dermatitis Herpetiformis Tx

A

Gluten free diet, Dapsone and sulfapyridine may be necessary

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16
Q

Vitiligo Tx

A

Western: sunscreen, oral and/or topical psoralen (drug that enhances sensitivity to light) with UVA/UVB
Natural: high dose B12 and folic acid; sun exposure;
L-Phenylalanine
Gingko biloba

17
Q

Melasma tx

A

can be difficult to treat

Reduce UV exposure, hypopigmenting agents (i.e. hydroquinone), topical tretinoin, azelaic acid, chemical peels, lasers

18
Q

Alopecia Tx

A

stress reduction, topical or systemic glucocorticoids(
Zinc with biotin
topical application of crude onion juice

19
Q

Urticaria Tx natural

A 
Vit C
B12 IM
Quercitin
HCl if deficient
Tx H pylori if present
Stress management
Baking soda, starch or oatmeal bath
Botanicals: comfrey, euphori, yerba sante
20
Q

Urticaria Tx Rx

A

antihistamines
prednisone
epi- if angioedema

21
Q

HPV Warts Tx

A

cryotherapy
electrosurgery
podofilox- topical antimitotic
surgical excision

need several rounds of tx

22
Q

Plantar Warts Tx

A

Trichloroacetic acid topical

Radiosurgery

23
Q

HSV Tx

A

Topical – Acyclovir, natural (Honey, Aloe, rhubarb-sage, licorice, Melissa, lysine, allantoin)
Oral - Acyclovir, natural (monolaurin, olive leaf, elder berry, lysine)
Stress management
decrease arg in diet

24
Q

Chickenpox Tx

A

symptoms-calamine lotion, oatmeal bath
secondary infections- mupirocin ointment
Acyclovir w/in 24 hrs decreases duration and intensity by half
communicable - prodrome to crust

25
Q

Shingles Tx

A

Bed rest, NSAIDs, sleep aids, capsaicin, lidocaine patches, moxa, Honey, acupuncture, US
Acyclovir: w/in 24-48 hr - decreases the intensity and duration by half
Few natural studies - monolaurin, olive leaf, elder berry, B12 IM, andrographis, homeopathy, etc.

26
Q

Impetigo Tx

A

Self-limiting
Topical- Mupirocin (with nasal if recurrent)
Oral abx if cannot tolerate topical

27
Q

Furuncle Tx

A

warm compress
I/D
consider abx

28
Q

Cellulitis Tx

A

oral abx x 10 days

29
Q

Erythrasma Tx

A

Erythromycin BID x 5 days po OR BID topically x 2 weeks
OR
Clarithromycin single dose

30
Q

Pitted keratolysis Tx

A

cotton socks, decrease moisture, consider topical abx

31
Q

Scabies Tx

A

Hot bath + permethrin topically, repeat in 1 week

32
Q

Pediculosis Tx

A

1 application of 0.5% ivermectin lotion
Pomades (petrolatum, mayonnaise, pomades) for 10 minutes to kill lice, but not eggs (nit)
Nit combing daily with Neem (Koodies shampoo), 1% permethrin (Nix), or pyrethrins (Rid),5% permethrin with failures
Lindane, malathion
Oral Ivermectin-single dose, repeat in 10 days
Fomite control-clean and vacuumed

33
Q

Lyme Tx- Early Dz

A

empiric antibiotics without serological testing for patient with erythema migrans and high probability of having Lyme disease
doxycycline or amoxicillin
Anti inflammatory/elimination diet, probiotic, samento (cat’s claw), enzymes

Derm! (2 decks)

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